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TitleDescriptionSubjectCollection
26 Basal cell carcinoma: excision removalThis person had a basal cell carcinoma, and the epidermis and dermis were excised. The danger area where the temporal branch of the facial nerve may lie and be quite close to the undersurface of the skin is shown by the straight lines drawn from ear to forehead. The surgeon should be careful to unde...Surgical MethodsKnowledge Weavers Dermatology
27 GoodmanThis is a picture of Dr. Goodman (of Goodman & Gillman fame). I once asked him how much you should know about a medication before using it, and he said,A lot! And you can quote me on that!Knowledge Weavers Dermatology
28 MidbrainMidbrain. Superior colliculus, red nucleus, III nucleus. Transverse plane. Photograph. Multimedia.Mesencephalon; Superior colliculus; Red nucleu; Cranial nerves; Oculomotor nerve; Central nervous system; AnatomySlice of Life
29 Punch biopsyPunch biopsy is excellent for sampling a skin disease that has multiple essentially identical lesions, or sampling a lesion within the skin. It is designed for full thickness skin biopsy, and is not an effective tool for biopsying the fat. When using it, it should be held as shown, should be spun ve...Knowledge Weavers Dermatology
30 Carcinoma, colonCarcinoma, colonKnowledge Weavers Pathology
31 KeloidBefore injecting the keloid with the corticosteroid, I recommend injecting local anesthetic into the underlying fat, and waiting about five minutes for the anesthetic to take effect. The anesthetic should not be injected into the keloid as this reduces the amount of space into which one can inject t...Knowledge Weavers Dermatology
32 SuturingThis demonstrates the deep dermal suture properly placed with the loop, which will be just on the under-surface of the dermis, and the knot will be buried well within the fat. This will prevent the knot from extruding through the dermis and out through the wound.Knowledge Weavers Dermatology
33 SuturingThe loop is then tightened with the hands in their natural position. This is done four times and then the suture is cut leaving suture ends at .5 cm long.Knowledge Weavers Dermatology
34 Tearing actionThey are then opened which creates a tearing action.Knowledge Weavers Dermatology
35 Adrenal cortical adenomaAdrenal cortical adenomaAndenoma, Adrenal CorticalKnowledge Weavers Pathology
36 Hyaline arteriolosclerosisHyaline arteriolosclerosisKnowledge Weavers Pathology
37 Aphthous stomatitisAphthous stomatitis (cankers) involving the tongue. Aphthous stomatitis ulcers are painful, and major aphthous stomatitis induces ulcers that last for many weeks, and sometimes induce scarring.Canker SoreKnowledge Weavers Dermatology
38 Idiopathic pulomonary fibrosisIdiopathic pulmonary fibrosisPulmonary FibrosisKnowledge Weavers Pathology
39 Parathyroid, adenomaParathyroid, adenomaKnowledge Weavers Pathology
40 EpinephrineStandard epinephrine (1:1,000) is shown at the top, and the crystalline form (Sus-Phrine) is a concentration of 1:200. Both are administered into the subcutaneous fat, and a dose of epinephrine 1:1,000 is 0.01 cc's per kg, and the dose of Sus-Phrine is half of that (0.005 cc's per kg), and the Sus-P...Knowledge Weavers Dermatology
41 Excision: suturingAVis formed as the deep dermal suture exits from the wound, and the suture is pulled so that the short (non-needle bearing end) is about 2 cm long. Both strands of suture should come out on the same side of the loop, and the order must be: loop, short end (non-needle bearing), long end (needle bea...Knowledge Weavers Dermatology
42 MiliariaOcclusion of the eccrine sweat glands produces a condition called miliaria; this appears as small red papules and/or vesicles, and associated inflammation.Knowledge Weavers Dermatology
43 Flea bitesPresumed flea bites.Knowledge Weavers Dermatology
44 EndocarditisEndocarditisKnowledge Weavers Pathology
45 Excision procedureThe following slides are a brief review of the excision procedure. The scalpel is angled outward away from the wound edge to ensure that the wound edges are beveled at about 45 o.Surgical MethodsKnowledge Weavers Dermatology
46 Decubitus ulcerA decubitus ulcer in an older woman in a nursing home. This was induced because the person was lying in one position for too long, and this compromised blood supply to the skin.Knowledge Weavers Dermatology
47 ForcepsThe forceps are held with the non-dominant hand as shown here between the first two or three fingers.Knowledge Weavers Dermatology
48 UrticariaUrticariaKnowledge Weavers Dermatology
49 Giant cell carcinomaGiant cell carcinomaKnowledge Weavers Pathology
50 SuturingThis demonstrates that a total of four throws should be made when tying the deep dermal suture, and if done properly, square knots are laid down. It is said that square knots provide optimum knot security.Knowledge Weavers Dermatology
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